Individual
CHARLES EDWIN HORTON JR.
Active
Individual
CHARLES EDWIN HORTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
0101045246
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007502371
—
VA
01
—
15507
OPTIMA/SENTARA HEALTH
VA
01
—
311610834
NC HEALTH CHOICE
VA
01
—
3116108340005E
CIGNA
VA
01
—
324839
ANTHEM BCBS
VT
01
—
4131324
AETNA
VA
01
—
8905439
NORTH CAROLINA MEDICAID
VA
01
—
910715
ALLIANCE/MDIPA
VA
Enumeration date
07/31/2006
Last updated
12/10/2012
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